| NPI | 1104683796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 3747P1801X Technician, Personal Care Attendant | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2025-05-06 |