NPI | 1750756334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 089776) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 096494) |
Enumeration Date | 2015-12-07 |
Last Update Date | 2024-04-02 |