| NPI | 1689980500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 374U00000X Home Health Aide (Licence: AR 10425) | |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2018-03-17 |