| NPI | 1780086587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089448) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 092524-1) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2020-03-25 |