| NPI | 1851762819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TN L000000021903) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: TN L000000012725) |
| 253Z00000X In Home Supportive Care (Licence: TN L000000013596) | |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2023-11-06 |