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 |