| NPI | 1073164794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA13392) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2021-10-28 |