| NPI | 1578121752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: VA HCO-2088) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: VA HCO-2088) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-06 |