| NPI | 1063035806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver (Licence: TX 16606230) |
| Additional Taxonomies | 251E00000X Home Health |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 310400000X Assisted Living Facility | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| 171W00000X Contractor | |
| 253Z00000X In Home Supportive Care | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2026-01-21 |