| 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 |