| NPI | 1962150086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 092209) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-03-18 |