| 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 |