| NPI | 1447457536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 073425) |
| 1041C0700X Social Worker Clinical (Licence: FL SW9685) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2023-06-06 |