| NPI | 1275203390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 122049-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 101YM0800X) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2024-02-14 |