| NPI | 1639992407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: KY 500439) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 372600000X Adult Companion (Licence: 500439) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: 500439) | |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2024-11-01 |