| NPI | 1760893903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 086733) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 086733) |
| 101Y00000X Counselor (Licence: NY 086733) | |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2021-05-26 |