| NPI | 1952017998 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 376J00000X Homemaker (Licence: FL 238964) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-01-24 |