| NPI | 1093079972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 076155) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004029) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2012-06-26 |