| NPI | 1184797722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R054902-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY R054902-1) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-09-05 |