| NPI | 1629675079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: OH 0138538) |
| Additional Taxonomies | 251X00000X |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle (Licence: OH RU929732) | |
| 3747P1801X Technician, Personal Care Attendant | |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-11-20 |