| NPI | 1174998777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 096414) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 087803) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2021-11-05 |