| NPI | 1538639224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 253Z00000X In Home Supportive Care | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |