| NPI | 1619430246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 172A00000X Driver |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-06-11 |