| NPI | 1073209839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-10-31 |