| NPI | 1346770344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095005) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 104100000X Social Worker (Licence: NY 106430) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06225200) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2024-05-10 |