| NPI | 1144931056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA200003182) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2023-11-19 |