| NPI | 1245192285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 172A00000X Driver |
| 106S00000X Behavior Technician | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2025-11-28 |
| Last Update Date | 2025-12-03 |