| NPI | 1750823068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL pn5204036) |
| Additional Taxonomies | 104100000X Social Worker |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 372600000X Adult Companion | |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |