| NPI | 1376347559 |
|---|---|
| Former Name | ALECIA CASSANDRA FULLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 372500000X Chore Provider |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-04-04 |