| NPI | 1023712353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 385HR2050X Respite Care Respite Care Camp |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |