| NPI | 1609347509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 104170) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 001797) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2021-05-04 |