| NPI | 1679901292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 77090716) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 090716) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2016-08-22 |