| NPI | 1225423692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2472R0900X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |