| NPI | 1669111514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172A00000X Driver | |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2024-09-17 |