| NPI | 1841078730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 251E00000X Home Health |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-10-02 |