| NPI | 1316229115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 052440) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44sl05914400) |
| 1041C0700X Social Worker, Clinical (Licence: NY 082377) | |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2019-07-08 |