| NPI | 1255740114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007143-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 007143-01) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2025-09-23 |