| NPI | 1275290397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2021-11-23 |