| NPI | 1053837708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093787-01) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-20-42714) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2025-04-25 |