| NPI | 1780451674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2026-04-10 |