| NPI | 1891323655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: NY 729270131) |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2022-10-04 |