| NPI | 1588556310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |