| NPI | 1043759442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172A00000X Driver |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: MI 464090206) | |
| 385H00000X Respite Care (Licence: MI 464090206) | |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2023-01-18 |