| NPI | 1952298234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 376J00000X Homemaker |
| 385HR2050X Respite Care Respite Care Camp | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 251X00000X Supports Brokerage | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2025-06-19 |