| NPI | 1356990618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 110819-01) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2024-08-06 |