| NPI | 1114446614 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider | 
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA13075)  | 
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2017-09-15 | 
| Last Update Date | 2025-07-30 |