| NPI | 1619606498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TN 000000021383) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN 000000021383) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-07 |