| NPI | 1952011181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703117961) |
| 251E00000X Home Health | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 372500000X Chore Provider | |
| 374U00000X Home Health Aide | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-11-29 |