| NPI | 1841079332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2024-04-15 |