| NPI | 1366995664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2018-08-17 |