| NPI | 1578753505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: FL 235260) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 253Z00000X In Home Supportive Care | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 372600000X Adult Companion (Licence: FL 6923844) | |
| 372600000X Adult Companion (Licence: FL 692384496) | |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2023-03-15 |