| NPI | 1568831725 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL 50-0000750) | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL 47-5082749) | 
| Enumeration Date | 2015-09-17 | 
| Last Update Date | 2017-02-23 |