| NPI | 1215412218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093767) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 096928-1) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2022-10-04 |