| NPI | 1558854950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |