| NPI | 1730600925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091867) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 096868) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-08-15 |