| NPI | 1205512738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 172A00000X Driver |
| 251X00000X | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-06-27 |