| NPI | 1720551104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 115724) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NY 1265412181) |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2022-06-14 |