| NPI | 1598309296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 261QA0600X Clinic/Center Adult Day Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-07 |