| NPI | 1629849005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 183344) |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2025-09-07 |