| NPI | 1225719123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 3747A0650X Technician Attendant Care Provider |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-25 |