| NPI | 1528400793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
| 225CX0006X | |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-08-09 |