| NPI | 1639598063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NY 089433) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 089433) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |