| NPI | 1356565162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: NY 198554) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 095521) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-08-26 |