| NPI | 1215426879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |