| NPI | 1770281362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 106s00000x) |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-03-01 |