| NPI | 1588164511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 092748) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 101214) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2022-03-25 |