| NPI | 1063814549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: NY 001338001) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 001338001) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |