| NPI | 1871300897 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 172A00000X Driver | |
| 372600000X Adult Companion | |
| 376G00000X Nursing Home Administrator | |
| 376J00000X Homemaker | |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |