| NPI | 1548933344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: NY AEC-18-05468) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: NY AEC-18-05468) |
| 174400000X Specialist (Licence: NY AEC-18-05468) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2026-01-28 |