| NPI | 1205384757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077980-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000138-1) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |