| NPI | 1376384206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 172A00000X Driver |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-05 |