| NPI | 1205439841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 172A00000X Driver |
| 251E00000X Home Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 376G00000X Nursing Home Administrator | |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |