| NPI | 1225074644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R029238-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY R029238-1) |
| 106H00000X Marriage & Family Therapist (Licence: NY R029238-1) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2008-03-07 |