| NPI | 1619377124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TX 015710) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: TX 015710) |
| 372600000X Adult Companion (Licence: TX 015710) | |
| 373H00000X Day Training/Habilitation Specialist (Licence: TX 015710) | |
| 3747A0650X Technician, Attendant Care Provider (Licence: TX 015710) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: TX 015710) | |
| 374U00000X Home Health Aide (Licence: TX 015710) | |
| 376K00000X Nurse's Aide (Licence: TX 015710) | |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-11-05 |