| NPI | 1932862240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 108339) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 108339) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-18 |