| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health |
| 172V00000X Community Health Worker |
| 302F00000X Exclusive Provider Organization |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 343900000X Non-emergency Medical Transport (VAN) |
| 376J00000X Homemaker |
| 385H00000X Respite Care |
| 373H00000X Day Training/Habilitation Specialist |
| 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2024-03-24 |