| NPI | 1336841550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 119217) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 025295) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-04-04 |