| NPI | 1073864294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 08399) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 08399) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2019-08-12 |