| NPI | 1619866530 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2025-07-03 |