| NPI | 1063722205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 099249) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: OH 099249) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OH 099249) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: OH 099249) | |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: OH 099249) | |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-27 |