| NPI | 1306449707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2021-09-10 |