| NPI | 1083066732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: CO 94-202-0785) |
| 3747P1801X Technician, Personal Care Attendant | |
| 251S00000X | |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-08-17 |