| NPI | 1386587590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MA 56382683) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: MA 56382683) |
| 225800000X Recreation Therapist (Licence: MA 56382683) | |
| 225C00000X Rehabilitation Counselor (Licence: MA 56382683) | |
| Enumeration Date | 2026-04-13 |
| Last Update Date | 2026-04-13 |