| NPI | 1700319571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 100147) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 100147) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |