| NPI | 1003380585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 096965) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089636) |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2023-06-20 |