| NPI | 1780987925 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant | 
| Additional Taxonomies | 103K00000X Behavior Analyst | 
| 3747A0650X Technician, Attendant Care Provider | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2010-12-09 | 
| Last Update Date | 2024-03-28 |