| NPI | 1487289153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2023-08-11 |