| NPI | 1609548783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 100866) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 104100000X Social Worker (Licence: NY 114768) | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2025-08-24 |