| NPI | 1497283147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2023-03-14 |