| NPI | 1609019173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| 385H00000X Respite Care | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-04-14 |