| NPI | 1982701561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 002847-1) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2007-07-08 |