| NPI | 1164224226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 385H00000X Respite Care | |
| 405300000X Prevention Professional (Licence: WI 253z00000X) | |
| 305S00000X Point of Service | |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-03-27 |