| NPI | 1487209722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 343800000X Secured Medical Transport (VAN) | |
| 247200000X Technician, Other | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2022-10-02 |