| NPI | 1780184457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086394) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 086394) |
| 104100000X Social Worker (Licence: NY 086394) | |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |