| NPI | 1144421413 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 8248) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2023-10-13 |