| NPI | 1407061245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 065590-1) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 065590-1) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-07-02 |