| NPI | 1649663162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 373H00000X Day Training/Habilitation Specialist | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376K00000X Nurse's Aide | |
| 311Z00000X Custodial Care Facility | |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2026-03-26 |