| NPI | 1659503746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY RO56413-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 112326039) |
| Enumeration Date | 2009-08-22 |
| Last Update Date | 2014-12-08 |