| NPI | 1942055157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171W00000X Contractor | |
| 172V00000X Community Health Worker | |
| 175T00000X Peer Specialist | |
| 253Z00000X In Home Supportive Care | |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| 372500000X Chore Provider | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |