| NPI | 1932800752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: DC 171w00000x) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171W00000X Contractor | |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-07-06 |