| NPI | 1538923941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 376J00000X Homemaker |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |