| NPI | 1013491687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 96226-01) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 96226-01) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2025-01-23 |