| NPI | 1336708486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |