| NPI | 1558756163 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 174400000X Specialist | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| 174400000X Specialist | |
| Enumeration Date | 2015-03-31 | 
| Last Update Date | 2019-07-22 |