| NPI | 1164980512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 721128145) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2023-04-24 |