| NPI | 1700076866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 126167-01) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY PT-014318-1) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2025-02-27 |