| NPI | 1659818938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| 305S00000X Point of Service | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |