| NPI | 1033499173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: MI 6301015882) |
| 103T00000X Psychologist (Licence: MI 6301015882) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: MI 6301015882) | |
| 103TP0814X Psychologist Psychoanalysis (Licence: MI 6301015882) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: MI 6301015882) | |
| 104100000X Social Worker (Licence: MI 6801095307) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MI 6830101788) | |
| 253Z00000X In Home Supportive Care | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: MI 6301015882) | |
| Enumeration Date | 2011-08-21 |
| Last Update Date | 2021-01-21 |