| NPI | 1083049167 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator | 
| Additional Taxonomies | 172V00000X Community Health Worker | 
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2013-09-09 | 
| Last Update Date | 2025-05-14 |