| NPI | 1487143608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA12133) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DC HHA12133) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-07-18 |