| NPI | 1063379907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 251E00000X Home Health | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 372500000X Chore Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2026-01-05 |
| Last Update Date | 2026-04-29 |