| NPI | 1336616127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172A00000X Driver | |
| 376J00000X Homemaker | |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2021-06-25 |