| NPI | 1972255693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 372600000X Adult Companion | |
| 373H00000X Day Training/Habilitation Specialist | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-01-24 |