| NPI | 1861658353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000171-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 082949) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2021-04-14 |