| NPI | 1033643036 |
|---|---|
| Former Name | KELLI LYNNE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372500000X Chore Provider |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2025-05-05 |