| NPI | 1730987058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: SC 19906) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: SC 19906) |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-05-15 |