| NPI | 1366637001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor School (Licence: NY 077240) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC 077240) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2024-01-02 |