| NPI | 1619468741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-06-16 |