| NPI | 1699041178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 73078856) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 73-078856) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2024-10-02 |