| NPI | 1518422195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 251E00000X Home Health | |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2022-07-21 |