| NPI | 1891323655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 122656-01) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: NY 729270131) |
| 104100000X Social Worker (Licence: MA LCSW229647) | |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2024-07-29 |