| NPI | 1346561909 |
|---|---|
| Former Name | ESTONIE R DANTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: RBT-21-163787) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL ED021880) |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2022-01-13 |