| NPI | 1831505916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: NY 0860961) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0860961) |
| 101YM0800X Counselor, Mental Health (Licence: NY 0860961) | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |