| NPI | 1588172662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NJ 26NR108476800) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163WC1500X Registered Nurse, Community Health (Licence: GA RN86584) | |
| 251S00000X | |
| 251T00000X PACE Provider Organization | |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2024-02-13 |