| NPI | 1144770587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084045) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 000989) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2024-02-10 |