| NPI | 1881192938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 126991-01) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NY RBT-18-47632) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2025-05-23 |