| NPI | 1912558974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MN 1100666) |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: MN 1100666) |
| Enumeration Date | 2019-09-21 |
| Last Update Date | 2019-09-21 |