| NPI | 1659629475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 16897) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2017-10-31 |