| NPI | 1104284579 |
|---|---|
| Former Name | IMELDA VERONICA TAFOLLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: TX 58465) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 58465) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2023-03-01 |