| NPI | 1982152765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: VA 4745795995) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: VA 0179824435) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2023-08-28 |