| NPI | 1689258840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098368) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 111934) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904017633) | |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2025-01-15 |