| NPI | 1750060299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: NY 20969) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2024-03-13 |