She's confined to a psychiatric ward nearly two months after the wreck.
Her only other court appearance was by video link from the hospital.
Prosecutors say the 31-year-old drank for hours at a family gathering before piling seven children into her car to take them to a slumber party. The Oct. 11 crash on a Manhattan highway killed 11-year-old Leandra Rosado.
Defense lawyer Steven Rubin says Huertas is a caring person who "made a terrible mistake."