| NPI | 1457023863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2021-10-04 |