| NPI | 1417582172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 109791) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 004178) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2023-04-13 |