NPI | 1528817871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
372600000X Adult Companion | |
374U00000X Home Health Aide | |
376K00000X Nurse's Aide | |
Enumeration Date | 2024-05-17 |
Last Update Date | 2024-05-17 |