| NPI | 1164575437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: TX 36369) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 36369) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2016-08-22 |