| NPI | 1710570882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251B00000X Case Management |
| 374700000X Technician (Licence: OH 127145) | |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2025-11-19 |