| NPI | 1689083651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 773748131) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2023-08-01 |