| NPI | 1760021653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |