| NPI | 1962067017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |