| NPI | 1861678682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 075780) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2012-05-21 |