| NPI | 1235522251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC 7879) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NC 7879) |
| 252Y00000X Early Intervention Provider Agency (Licence: NC 7879) | |
| 273Y00000X Rehabilitation Unit (Licence: NC 7879) | |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |