| NPI | 1780361014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 171M00000X Case Manager/Care Coordinator | |
| 172A00000X Driver | |
| 174200000X | |
| 176P00000X Funeral Director | |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-06-29 |