| NPI | 1538626650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 1867) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2023-07-18 |