| NPI | 1811253941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 092070) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 086114-1) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2022-03-22 |