| NPI | 1952274722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC 2026-17036-01) |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2026-08-11 |