| NPI | 1477909265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 102577) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 725806132) |
| 252Y00000X Early Intervention Provider Agency (Licence: NY 725806132) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 106520-1) | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2026-03-25 |