| NPI | 1083931190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: SC 5475) |
| Additional Taxonomies | 172A00000X Driver (Licence: SC 0008763404) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |