| NPI | 1255619987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R039772-1) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY R039772-1) |
| 174H00000X Health Educator (Licence: NY R039772-1) | |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |