| NPI | 1679305601 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator | 
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services | 
| 372600000X Adult Companion | |
| 373H00000X Day Training/Habilitation Specialist | |
| 374T00000X Religious Nonmedical Nursing Personnel | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2024-08-19 | 
| Last Update Date | 2024-08-19 |