| NPI | 1699012732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2023-08-02 |