| NPI | 1780562553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 2472R0900X Technician, Other, Renal Dialysis | |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |