| NPI | 1629571971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 102438) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 1) |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2026-05-14 |