| NPI | 1629590468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2018-07-03 |