| NPI | 1053849166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 171W00000X Contractor | |
| 172V00000X Community Health Worker | |
| 225400000X Rehabilitation Practitioner | |
| 253Z00000X In Home Supportive Care | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2022-07-21 |