| NPI | 1245803873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 113138) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 1041C0700X Social Worker, Clinical | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2024-03-13 |