| NPI | 1720787609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA PHCP042530) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: GA PHCP042530) |
| 376J00000X Homemaker (Licence: GA PHCP042530) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA PHCP042530) | |
| 251E00000X Home Health (Licence: GA PHCP042530) | |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2025-10-20 |