| NPI | 1043797673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 093207) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 102975) |
| 104100000X Social Worker | |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2023-10-25 |