| NPI | 1528747367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 251E00000X Home Health (Licence: FL 1871311050) | |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2025-07-16 |