| NPI | 1649729500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251B00000X Case Management | |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2022-06-08 |