| NPI | 1699417477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: LA 555538) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 251S00000X Community/Behavioral Health | |
| 251E00000X Home Health | |
| 251B00000X Case Management | |
| 253Z00000X In Home Supportive Care | |
| 253J00000X Foster Care Agency | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 174200000X Meals | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2026-07-21 |