| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 291U00000X Clinical Medical Laboratory |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 343900000X Non-emergency Medical Transport (VAN) |
| 376J00000X Homemaker |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-12-21 |