| NPI | 1649895772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY P103759) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY P103759) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |