| NPI | 1750087375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 372600000X Adult Companion | |
| 373H00000X Day Training/Habilitation Specialist | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |