| NPI | 1932460904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171W00000X Contractor (Licence: NY 505026111) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-08-15 |