| NPI | 1346376563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 001-084) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2023-05-24 |