| NPI | 1407118714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 392075) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 392075) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |