| NPI | 1205201134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2024-03-15 |