| NPI | 1629319967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084933) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 088740-1) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2022-12-09 |