| NPI | 1821586264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW11152) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL SW11152) |
| 1041C0700X Social Worker Clinical (Licence: NY R050690-1) | |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2022-08-05 |