| NPI | 1790287282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2025-03-21 |