| NPI | 1710495494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2025-11-24 |