NPI | 1215613237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: NY 1684674) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 1684675) |
Enumeration Date | 2023-06-26 |
Last Update Date | 2023-09-18 |