| NPI | 1174125363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: OH 8003154) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 8003154) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2020-11-12 |