| NPI | 1831790823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2026-07-01 |