| NPI | 1295128866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 090990-01) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 051983-1) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2022-01-08 |