| NPI | 1245631498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA D5510598) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2019-09-19 |