| NPI | 1114537651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MS 216241) |
| 246RP1900X Technician, Pathology, Phlebotomy (Licence: MS 133994) | |
| 374U00000X Home Health Aide | |
| 101Y00000X Counselor | |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2023-06-21 |