| NPI | 1912491903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098615) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 103669) |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2025-04-23 |