| NPI | 1225530082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 251E00000X Home Health (Licence: GA PHCP013138) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 253Z00000X In Home Supportive Care (Licence: SC IHCP-0849) | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2026-08-18 |