| NPI | 1326528381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089433) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 092463) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2023-03-23 |