NPI | 1619672813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251C00000X |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
253Z00000X In Home Supportive Care | |
Enumeration Date | 2023-04-05 |
Last Update Date | 2023-04-06 |