| NPI | 1649519794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WI NA205392) |
| Additional Taxonomies | 171W00000X Contractor (Licence: WI NA205392) |
| Enumeration Date | 2013-02-09 |
| Last Update Date | 2013-02-09 |