| NPI | 1619544285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: NY 100627-01) | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2025-08-12 |