| NPI | 1861966541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 372600000X Adult Companion | |
| 3747A0650X Technician, Attendant Care Provider | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2022-04-22 |