| NPI | 1770185829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172A00000X Driver (Licence: CO 17-149-1281) |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-12-01 |