| NPI | 1942826318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 104100000X Social Worker |
| 253Z00000X In Home Supportive Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 372600000X Adult Companion | |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2023-04-10 |