| NPI | 1629351549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY R022416-1) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY R022416-1) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |