| NPI | 1962708115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084874) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 077723-1) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2023-12-26 |