NPI | 1013018647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY R032617-1) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2022-07-05 |