| NPI | 1306641642 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |