| NPI | 1194544569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172A00000X Driver (Licence: OH TV863942) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2025-06-03 |