| NPI | 1578081642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver (Licence: NJ D07196336761662) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 225800000X Recreation Therapist | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |