| NPI | 1609289750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098662) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 090549-1) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2025-01-16 |