| NPI | 1619403946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: ND 171M00000X) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2022-06-30 |