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 |