| NPI | 1154861987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: CA 00965715) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: CA 583752) |
| 374U00000X Home Health Aide (Licence: CA 00280800) | |
| 405300000X Prevention Professional (Licence: CA G1907747) | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2020-04-10 |