| NPI | 1801464631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 112043-01) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-12-21 |