| NPI | 1619512894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA14735) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2023-06-21 |