| NPI | 1306194881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: NY 686777328) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2015-01-22 |