| NPI | 1124827688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 177F00000X Lodging | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |