| NPI | 1174253223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 116508) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 003168) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2025-09-08 |