| NPI | 1821246943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 73077356) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 074308-1) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2011-01-24 |