| NPI | 1790236842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 60937) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2025-01-14 |