NPI | 1932384344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251E00000X Home Health (Licence: FL 39971191) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: FL 39971191) |
Enumeration Date | 2008-01-03 |
Last Update Date | 2020-03-24 |