| NPI | 1881061554 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 172V00000X Community Health Worker | 
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA11432) | 
| Enumeration Date | 2015-08-28 | 
| Last Update Date | 2025-08-25 |