NPI | 1497291389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: LA 008688552) |
3747A0650X Technician, Attendant Care Provider (Licence: LA 00868852) | |
Enumeration Date | 2017-01-16 |
Last Update Date | 2023-02-11 |