| NPI | 1316794613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 101Y00000X Counselor |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-11-07 |