| NPI | 1720455504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: CO 04T569) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 376J00000X Homemaker (Licence: CO 04B433) | |
| 385H00000X Respite Care (Licence: CO 04B433) | |
| 172A00000X Driver | |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2021-10-12 |