| NPI | 1639960834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 172A00000X Driver | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |