| NPI | 1952885899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: CA 7517245226) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: CA 7517245226) |
| 253Z00000X In Home Supportive Care (Licence: CA 7517245226) | |
| 376J00000X Homemaker (Licence: CA 7517245226) | |
| 385H00000X Respite Care (Licence: CA 7517245226) | |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |