| NPI | 1801426689 |
|---|---|
| Former Name | EBONY THISSEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 374J00000X Doula |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2021-06-29 |