| NPI | 1942826730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2025030631) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2025-12-11 |