| NPI | 1033546650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 084345) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2021-06-01 |