| NPI | 1538983275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver (Licence: OH RT161357) |
| Additional Taxonomies | 376J00000X Homemaker |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: OH RT161357) | |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-11 |