| NPI | 1750941597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| 101Y00000X Counselor (Licence: OH CDCA170113) | |
| 171M00000X Case Manager/Care Coordinator | |
| 174400000X Specialist | |
| 251S00000X Community/Behavioral Health | |
| 372600000X Adult Companion | |
| 374K00000X Religious Nonmedical Practitioner | |
| 376J00000X Homemaker | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2024-12-14 |