| NPI | 1124754858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 101291) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 101291) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 101291) | |
| 101YP2500X Counselor, Professional (Licence: NY 101291) | |
| 101YS0200X Counselor, School (Licence: NY 101291) | |
| 104100000X Social Worker (Licence: NY 101291) | |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-07-26 |