| NPI | 1205709227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 123560-01) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 009534-01) |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-09-25 |