| NPI | 1801034202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 253Z00000X In Home Supportive Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2020-10-01 |