| NPI | 1275763856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY PR023112-1) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 023112-1) |
| 1041S0200X Social Worker School (Licence: NY PR023112-1) | |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2018-03-06 |