| NPI | 1861364689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 372600000X Adult Companion |
| 3747A0650X Technician, Attendant Care Provider | |
| 376K00000X Nurse's Aide (Licence: 113879) | |
| 3747P1801X Technician, Personal Care Attendant | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-09-30 |