| NPI | 1225533003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 373H00000X Day Training/Habilitation Specialist | |
| 171M00000X Case Manager/Care Coordinator | |
| 374U00000X Home Health Aide | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2025-09-05 |