| NPI | 1588951685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082785) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| 104100000X Social Worker | |
| Enumeration Date | 2011-07-09 |
| Last Update Date | 2019-05-13 |