| NPI | 1033650171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012892-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 090136) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2023-04-21 |