| NPI | 1497202261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 09052301) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 090523) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2023-10-18 |