| NPI | 1508605577 |
|---|---|
| Former Name | MYRACLE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2025-11-21 |