| NPI | 1891315131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA15351) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: DC A00173797) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-10-07 |