| NPI | 1851897474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171W00000X Contractor | |
| 225800000X Recreation Therapist | |
| 374K00000X | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2019-09-16 |