| NPI | 1659986396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 372600000X Adult Companion | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |