| NPI | 1215793062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 172A00000X Driver | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |