| NPI | 1386960698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MN R189664-0) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WI 170066030) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-04-12 |