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 |