| NPI | 1851139620 |
|---|---|
| Former Name | DAMITA JOHNSON-EL-BEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 172A00000X Driver (Licence: MI J525135122103) | |
| 372600000X Adult Companion | |
| 374K00000X | |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-10-28 |