| NPI | 1699440123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 1564451) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1564451) |
| 103TC1900X Psychologist, Counseling (Licence: NY 1564451) | |
| 104100000X Social Worker (Licence: NY 1699440123) | |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2021-08-18 |