| NPI | 1467161448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 251C00000X |
| 251T00000X PACE Provider Organization | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 372600000X Adult Companion | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2022-11-18 |