| NPI | 1336791961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 156F00000X Technician/Technologist | |
| Enumeration Date | 2019-07-13 |
| Last Update Date | 2021-05-08 |