| NPI | 1487879052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL 681528696) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL 681528698) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-09 |