| NPI | 1356027213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251X00000X | |
| 253Z00000X In Home Supportive Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-06-27 |