| NPI | 1871000521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NY 2930792) |
| Additional Taxonomies | 251B00000X Case Management |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-10-25 |