| NPI | 1679167159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 1911672251) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2025-11-10 |