| NPI | 1083415491 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 600055130322) | 
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | 
| 374U00000X Home Health Aide | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2025-03-21 | 
| Last Update Date | 2025-03-21 |