| NPI | 1871082685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |