| NPI | 1891315131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: DC NA0000813914) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA15351) |
| 103TH0100X Psychologist, Health Service (Licence: DC A00173797) | |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2024-12-09 |