NPI | 1104406644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NY 112436) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 112436) |
104100000X Social Worker (Licence: NY 112436) | |
Enumeration Date | 2021-04-09 |
Last Update Date | 2021-04-09 |