| NPI | 1538927165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 20049) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101Y00000X Counselor | |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-03-08 |