| NPI | 1033752373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 2613284) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 35243) |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2023-10-30 |