| NPI | 1659035293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 113547-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 100619) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2025-10-02 |