| NPI | 1407634041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 402179620619) |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2024-11-15 |