| NPI | 1376808444 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 374U00000X Home Health Aide | |
| Enumeration Date | 2012-07-05 | 
| Last Update Date | 2024-10-08 |