| NPI | 1932555901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 10033) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 10033) |
| 163WC1500X Registered Nurse, Community Health (Licence: LA 103229) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2019-01-10 |