| NPI | 1174036701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088307) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2022-09-07 |