| NPI | 1598511362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care (Licence: LA 770641488) |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider (Licence: LA 1758001925) |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-04-24 |