| NPI | 1730808932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 172A00000X Driver |
| 251X00000X | |
| 253Z00000X In Home Supportive Care | |
| 374U00000X Home Health Aide | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |