| NPI | 1164551297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-06-08 |