| NPI | 1417575937 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 253Z00000X In Home Supportive Care | 
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 
| Enumeration Date | 2020-07-10 | 
| Last Update Date | 2022-12-29 |