| NPI | 1265671150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R080091) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 075193-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 080091-1) | |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2015-11-30 |