NPI | 1710133830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080112) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 074432) |
Enumeration Date | 2008-08-08 |
Last Update Date | 2024-01-11 |