| NPI | 1154610111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: 140168763) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: AR 121985746) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-03-30 |