| NPI | 1033685052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN.120878.MEDS) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: OH RT346086) | |
| 347C00000X Private Vehicle (Licence: OH RT346086) | |
| 372500000X Chore Provider | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2023-07-26 |