| NPI | 1528838174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 172A00000X Driver |
| 3747P1801X Technician, Personal Care Attendant (Licence: 603014130725) | |
| 106S00000X Behavior Technician | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2026-03-04 |