NPI | 1023532892 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 376J00000X Homemaker (Licence: MN 1085372-1-HCBS) |
Additional Taxonomies | 174400000X Specialist (Licence: MN 1085372-1-HCBS) |
372600000X Adult Companion (Licence: MN 1085372-1-HCBS) | |
385H00000X Respite Care (Licence: MN 1058372-1-HCBS) | |
Enumeration Date | 2017-08-02 |
Last Update Date | 2022-07-21 |