| NPI | 1760776983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2018-02-28 |