| NPI | 1164237533 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 376J00000X Homemaker | |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |