NPI | 1356604862 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: NY 775361) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 19223) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2012-06-19 |