| NPI | 1730218819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY R035963-1) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2025-05-20 |