| NPI | 1780144600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MN 1098738-1-HCBS) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MN 1098738-1-HCBS) |
| 253Z00000X In Home Supportive Care (Licence: MN 1098738-1-HCBS) | |
| 376J00000X Homemaker (Licence: MN 1098738-1-HCBS) | |
| 385H00000X Respite Care (Licence: MN 1098738-1-HCBS) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |