| NPI | 1609348564 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WA GC60713901) | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA HM60879197) | 
| Enumeration Date | 2018-12-17 | 
| Last Update Date | 2018-12-17 |