| NPI | 1841436730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY R26276) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY R26276) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2008-12-23 |