| NPI | 1104227487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2019-07-11 |