| NPI | 1073104030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251S00000X |
| 374U00000X Home Health Aide (Licence: DC HHA15525) | |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2023-06-20 |