| NPI | 1053557298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081170) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 076568-1) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2024-10-25 |