| NPI | 1467930057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097984) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 108270) |
| 1041S0200X Social Worker, School (Licence: NY 108270) | |
| 146N00000X Emergency Medical Technician, Basic (Licence: NY 521626) | |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2024-07-08 |