| NPI | 1598782195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R027661-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY R027661-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 000468-1) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2014-09-04 |