| NPI | 1619208576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 071211) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 071211) |
| 101Y00000X Counselor (Licence: NY 071211) | |
| 101YM0800X Counselor, Mental Health (Licence: NY 071211) | |
| 104100000X Social Worker (Licence: NY 071211) | |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2015-05-01 |