| NPI | 1932701778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WV 68779) |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-20 |