| NPI | 1912409426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2019-11-14 |