| NPI | 1023542636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: DC HHA11951) | |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2023-06-16 |