| NPI | 1073921235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 045576011) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2018-09-21 |