| NPI | 1922543305 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator | 
| Additional Taxonomies | 251S00000X Community/Behavioral Health | 
| 374U00000X Home Health Aide (Licence: DC hha12621) | |
| Enumeration Date | 2016-12-21 | 
| Last Update Date | 2023-08-01 |