| NPI | 1255988960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |