| NPI | 1184242067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MO 37930a) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 376K00000X Nurse's Aide (Licence: KS 18071) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |