| NPI | 1255565248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081758-1) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 078002-1) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2022-01-07 |