| NPI | 1255785671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: PA RN668332) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WV 91206) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |