NPI | 1518783075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 374U00000X Home Health Aide |
Additional Taxonomies | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
372500000X Chore Provider | |
3747P1801X Technician, Personal Care Attendant | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2024-12-02 |
Last Update Date | 2025-08-06 |