| NPI | 1356812457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: PA 37703601) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: PA 37703601) |
| 172V00000X Community Health Worker (Licence: PA 37703601) | |
| 372600000X Adult Companion (Licence: PA 37703601) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-02-08 |