| NPI | 1497574842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 104100000X Social Worker |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2026-01-10 |