| NPI | 1730970070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 376K00000X Nurse's Aide (Licence: TN 00221558) | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2026-02-04 |