| NPI | 1710491378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TX 310069) |
| Additional Taxonomies | 104100000X Social Worker |
| 251J00000X Nursing Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2017-11-18 |
| Last Update Date | 2017-11-18 |