| NPI | 1447797493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL LCSW16392) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 081031) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2019-10-29 |