| NPI | 1306309695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 106246-1) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |