NPI | 1508370917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: FL 011818900) |
Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: FL 011818900) |
Enumeration Date | 2017-11-21 |
Last Update Date | 2017-11-21 |