| NPI | 1609388529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094152) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 097789) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2023-03-02 |