| NPI | 1407749229 |
|---|---|
| Former Name | ANNETTE JEANNETTE NORTHUP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 175T00000X Peer Specialist | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |