| NPI | 1962972901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251S00000X |
| 374U00000X Home Health Aide (Licence: DC HHA14172) | |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2023-07-26 |