| NPI | 1033661624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2022-03-23 |