| NPI | 1245631639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: NY 314780-1) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NY 314780-1) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |