| NPI | 1174483879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA200006588) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2025-11-14 |
| Last Update Date | 2026-07-06 |