| NPI | 1669665386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076650) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 068286) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2021-05-18 |