| NPI | 1265132690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |