| NPI | 1932345352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 078844) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 072895-1) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2014-07-14 |