| NPI | 1912512153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251S00000X |
| 372600000X Adult Companion (Licence: MD A00171863) | |
| 376K00000X Nurse's Aide (Licence: MD A00171863) | |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2023-07-25 |