| NPI | 1124520176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: VA PPS-531051) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2025-03-04 |