| NPI | 1871937110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R025852-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 025852) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2020-01-03 |