| NPI | 1386366102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| 253Z00000X In Home Supportive Care | |
| 332U00000X Home Delivered Meals | |
| 342000000X | |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |