| NPI | 1346835469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098117) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 106153-1) |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2024-10-11 |