| NPI | 1750415881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: AK 312106) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: AK 312106) |
| 385H00000X Respite Care (Licence: AK 312106) | |
| 172A00000X Driver (Licence: AK 312106) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-06-10 |