| NPI | 1780875245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: NA) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: NA) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |