| NPI | 1093405235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: OH TN452866) |
| Additional Taxonomies | 172A00000X Driver (Licence: OH TN452866) |
| 347C00000X Private Vehicle (Licence: OH TN452866) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2024-11-20 |