| NPI | 1689140196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451022645) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2024-10-29 |