| NPI | 1568290674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 376G00000X Nursing Home Administrator | |
| 106S00000X Behavior Technician | |
| 251E00000X Home Health | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2026-06-02 |