| NPI | 1164262382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| 225700000X Massage Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3747P1801X Technician, Personal Care Attendant | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-05-27 |
| Last Update Date | 2024-05-27 |