| NPI | 1013501675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2023-04-04 |