| NPI | 1679198568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251K00000X Public Health or Welfare | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| 385HR2050X Respite Care Respite Care Camp | |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |