| NPI | 1518679992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2025-10-23 |