| NPI | 1306503206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2026-04-22 |