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 |