| NPI | 1568706646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 251S00000X | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2017-08-16 |