| NPI | 1629568175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091743) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 100912) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2024-02-06 |