| NPI | 1487034492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092208) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 092208) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2023-09-18 |