| NPI | 1821636812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: WV G162992) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: VA A60819460) |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2023-02-24 |