| NPI | 1831759141 |
|---|---|
| Former Name | STEPHANIE R GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-11-27 |