| NPI | 1275810483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY P94714) |
| 101Y00000X Counselor | |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2021-11-15 |