| NPI | 1972860179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: MA SP-839-SA) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2019-04-17 |