| 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 |