| NPI | 1407577364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 171W00000X Contractor |
| 3747P1801X Technician, Personal Care Attendant | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2022-09-08 |