| NPI | 1740655687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: AL 06807) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: AL 06807) |
| 171WH0202X Contractor, Home Modifications (Licence: AL 06807) | |
| 172V00000X Community Health Worker (Licence: AL 06807) | |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |