| NPI | 1013693563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 3747A0650X Technician Attendant Care Provider | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2024-08-27 |