| 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 |