| NPI | 1396374435 |
|---|---|
| Former Name | HITASHIA NICHOLE GOODMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2021-10-08 |