| NPI | 1366008336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 24724) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |