| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 251B00000X Case Management |
| 251S00000X Community/Behavioral Health |
| 253Z00000X In Home Supportive Care |
| 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies |
| 343800000X Secured Medical Transport (VAN) |
| 343900000X Non-emergency Medical Transport (VAN) |
| 3747P1801X Technician Personal Care Attendant |
| 374U00000X Home Health Aide |
| 376K00000X Nurse's Aide |
| 385H00000X Respite Care |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2019-04-23 |