| NPI | 1790092484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 171W00000X Contractor |
| 251E00000X Home Health | |
| 347C00000X Private Vehicle | |
| 251B00000X Case Management | |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2026-07-30 |