| NPI | 1669821823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 2613983) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 2613983) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-07-13 |