| NPI | 1114775756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 374U00000X Home Health Aide | |
| 106S00000X Behavior Technician | |
| 171W00000X Contractor | |
| 251B00000X Case Management | |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-10-21 |