| NPI | 1881838944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: MI 230251200698) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 172A00000X Driver | |
| 372500000X Chore Provider | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2019-04-01 |