| NPI | 1932651213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC 2867) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NC 2867) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |