| NPI | 1356121420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| 374U00000X Home Health Aide | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |