| NPI | 1649462953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: VA 33-11771899) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: VA 33-1171899) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |