| NPI | 1649968306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider (Licence: OH 7611188) |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2025-10-02 |