| NPI | 1770628810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NH 1668) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 18001122) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2013-02-05 |