| NPI | 1053915520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 172A00000X Driver | |
| 372600000X Adult Companion | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-11-25 |