| NPI | 1104699412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2026-05-14 |