| NPI | 1679077341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 071808) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 071808) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-10-10 |