| NPI | 1659647162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251C00000X | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2017-09-11 |