| NPI | 1104076140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: OR 859573) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C1334) |
| 101YP2500X Counselor, Professional (Licence: OR c1334) | |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2022-09-22 |