| NPI | 1013676030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: FL 237440) |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2022-05-25 |