| NPI | 1851896542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: NC 874693497) |
| Additional Taxonomies | 101Y00000X Counselor |
| 251K00000X Public Health or Welfare | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |