| NPI | 1881363117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 164W00000X Licensed Practical Nurse (Licence: AL 2055434) | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-09 |