| NPI | 1467836676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 017805) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: TX 017805) |
| 3747P1801X Technician, Personal Care Attendant (Licence: TX 017805) | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2021-11-08 |