| NPI | 1891398855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 097513) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 097513) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2023-02-06 |