| NPI | 1215321112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: HI 47-3166133) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: HI 47-3166133) |
| 251J00000X Nursing Care (Licence: HI 47-3166133) | |
| 251S00000X (Licence: HI 47-3166133) | |
| 253J00000X Foster Care Agency (Licence: HI 47-3166133) | |
| 253Z00000X In Home Supportive Care (Licence: HI 47-3166133) | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |