| NPI | 1386047363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 233097) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 30212086) |
| 251E00000X Home Health (Licence: FL 30212086) | |
| 251J00000X Nursing Care (Licence: FL 30212086) | |
| 253Z00000X In Home Supportive Care (Licence: FL 30212086) | |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2020-08-08 |