| NPI | 1912495094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172A00000X Driver |
| 251S00000X | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |