| NPI | 1295109577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 3651840) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2021-03-03 |