| NPI | 1104273242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 247200000X Technician, Other |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 372600000X Adult Companion | |
| 374700000X Technician | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2025-05-23 |