| NPI | 1407453137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 118752) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC19114) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2023-02-02 |