| NPI | 1639426554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 088906-1) |
| 101Y00000X Counselor | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2023-01-13 |