| NPI | 1255211447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251X00000X Supports Brokerage | |
| 253Z00000X In Home Supportive Care | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |