| NPI | 1154756427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086277-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 079902) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2024-06-19 |