NPI | 1235147547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NY 002529) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 070296) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2018-04-18 |