| NPI | 1609896943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY R058000-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY R058000-1) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-12-01 |