| NPI | 1104173541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 512965111) |
| 174400000X Specialist (Licence: NY 361988091) | |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2018-11-26 |