| NPI | 1770359184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WI 336446) |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |