| NPI | 1255806741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 102270) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 103178) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2026-03-09 |