| NPI | 1831761865 |
|---|---|
| Former Name | MARY JANE COMBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2021-07-09 |