| NPI | 1306218060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094819-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 096094-1) |
| 104100000X Social Worker (Licence: NY 096094-1) | |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2023-08-08 |