| NPI | 1467052050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: OH 7714129) |
| Additional Taxonomies | 347E00000X Transportation Broker |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2020-11-03 |