NPI | 1164108726 |
---|---|
Former Name | EDEN MARIE GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 374U00000X Home Health Aide (Licence: MI 230010083410405) |
376K00000X Nurse's Aide (Licence: MI 230010083410405) | |
Enumeration Date | 2023-06-27 |
Last Update Date | 2024-10-23 |