| NPI | 1437178068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY pr017885-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY pr017885-1) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-12-16 |