| NPI | 1295171817 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 049540-1) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 049540-1) | 
| 103K00000X Behavior Analyst (Licence: NY 049540-1) | |
| 171M00000X Case Manager/Care Coordinator (Licence: NY 049540-1) | |
| 172V00000X Community Health Worker (Licence: NY 049540-1) | |
| 174400000X Specialist (Licence: NY 049540-1) | |
| 174H00000X Health Educator (Licence: NY 049540-1) | |
| 208D00000X General Practice (Licence: NY 049540-1) | |
| 246RP1900X Technician, Pathology, Phlebotomy (Licence: NY 049540-1) | |
| Enumeration Date | 2013-05-22 | 
| Last Update Date | 2013-05-22 |