| NPI | 1407503709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2023-01-23 |