| NPI | 1821587031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| 251S00000X | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2024-05-15 |