| NPI | 1790470144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251S00000X |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2024-09-11 |