| NPI | 1730467085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 001537) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 100264) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2025-10-16 |