| NPI | 1295097145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 16330) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2013-12-18 |