| NPI | 1730613860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MI 6802089498) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2018-03-17 |