| NPI | 1528233475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: FL 09-1078-005-07) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2019-01-15 |