| NPI | 1033826136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0700X Psychologist Adult Development & Aging |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker | |
| 174200000X Meals | |
| 225100000X Physical Therapist | |
| 311500000X Alzheimer Center (Dementia Center) | |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-10-31 |