| NPI | 1740868561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TH0100X Psychologist, Health Service | |
| 174200000X Meals | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2023-06-22 |