| NPI | 1104406651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225CX0006X Rehabilitation Counselor, Orientation and Mobility Training Provider |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-09 |