| NPI | 1477935914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: VA SERVICE COORDINATOR) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: VA PCP-289083) |
| Enumeration Date | 2015-06-21 |
| Last Update Date | 2015-06-21 |