| NPI | 1023130655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: AK CM 9362) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: AK CM# 9362) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |