| NPI | 1578923363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2020-09-16 |