| NPI | 1144617226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA11219) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: DC HHA11219) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |