| NPI | 1871267294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2023-10-20 |