| NPI | 1487015459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 347C00000X Private Vehicle | |
| 376K00000X Nurse's Aide | |
| 374U00000X Home Health Aide | |
| 174200000X Meals | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2026-04-28 |