| NPI | 1245377951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY RO51668-01) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY RO51668-1) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2023-08-25 |