| NPI | 1386365526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 124239-01) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 104100000X Social Worker | |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2024-09-09 |