| NPI | 1881104578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 310400000X Assisted Living Facility | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2017-10-07 |
| Last Update Date | 2025-03-10 |