| NPI | 1396567335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 44SL06206100) |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |