| NPI | 1568195675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| 171WH0202X Contractor, Home Modifications | |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-06 |