| NPI | 1649611641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1032935161) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 706590131) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2020-06-03 |