| NPI | 1831489178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087727) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 082978-1) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: NY 087727) | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2025-11-03 |