| NPI | 1356864607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090335) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: NY 100874) | |
| 104100000X Social Worker (Licence: NY 100874) | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2020-11-05 |