| NPI | 1679052575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 105535) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 105535) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2024-04-12 |