| NPI | 1780170266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172A00000X Driver (Licence: MD A425447590177) |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 347C00000X Private Vehicle | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 373H00000X Day Training/Habilitation Specialist | |
| 373H00000X Day Training/Habilitation Specialist | |
| 3747A0650X Technician Attendant Care Provider | |
| 374T00000X Religious Nonmedical Nursing Personnel | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2018-07-08 |