| NPI | 1104414622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 012737) |
| 101YM0800X Counselor, Mental Health (Licence: NY P101186) | |
| Enumeration Date | 2021-01-10 |
| Last Update Date | 2022-08-17 |