| NPI | 1295378867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: NJ 0450413196) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NJ 0450413196) |
| 251S00000X Community/Behavioral Health (Licence: NJ 0450413196) | |
| 253Z00000X In Home Supportive Care (Licence: NJ 0450413196) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ 0450413196) | |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |