| NPI | 1841791332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 102913-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 102913-1) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2024-10-18 |