| NPI | 1730423617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 73 084738) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 72 091247) |
| 101YM0800X Counselor, Mental Health (Licence: CT 008132) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 72 091247) | |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2020-06-15 |