| NPI | 1811463466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101Y00000X Counselor (Licence: NY 108217) | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2021-07-15 |