| NPI | 1962293035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2025-05-16 |
| Last Update Date | 2025-05-19 |