| NPI | 1982860334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY R078965) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R078965) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2019-11-04 |