| NPI | 1144417650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: FL 171w00000x) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL 171w00000x) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |