| NPI | 1760259097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |