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 |