NPI | 1366085284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095567) |
Additional Taxonomies | 101Y00000X Counselor |
102L00000X Psychoanalyst | |
104100000X Social Worker (Licence: NY 107187) | |
Enumeration Date | 2019-10-23 |
Last Update Date | 2023-06-04 |