| NPI | 1902164668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 067206) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 002724) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |