| NPI | 1932776002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2023-02-16 |