NPI | 1053129783 |
---|---|
Former Name | BREANNA KAE PATIENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
Additional Taxonomies | 372500000X Chore Provider |
372600000X Adult Companion | |
3747P1801X Technician, Personal Care Attendant | |
Enumeration Date | 2024-12-27 |
Last Update Date | 2024-12-27 |