| NPI | 1710916150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 070305-1) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2011-11-04 |