| NPI | 1356490783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY RO22951-1) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY R022951) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2022-06-16 |