| NPI | 1407618762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YM0800X Counselor, Mental Health | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-03-27 |