| NPI | 1023236486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: LA 7710) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 7710) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-02-11 |