| NPI | 1649004763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 172A00000X Driver |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-08-30 |