| NPI | 1932075629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: VA HCO0006082) |
| Additional Taxonomies | 251E00000X Home Health (Licence: VA HCO0006082) |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: VA HCO0006082) | |
| Enumeration Date | 2025-10-11 |
| Last Update Date | 2025-10-11 |