| NPI | 1568189280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY P121081) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 123766) |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2026-03-19 |