| NPI | 1225596141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO-232776) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0002092072) |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2019-03-10 |
| Last Update Date | 2022-11-16 |