| NPI | 1073104030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA15525) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 171M00000X Case Manager/Care Coordinator | |
| 3747P1801X Technician, Personal Care Attendant (Licence: DC HHA15525) | |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2026-04-21 |