| NPI | 1225177025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: NY 1225177025) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075592) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2012-08-03 |