| NPI | 1588039267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 098434) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2023-03-21 |