Individual
BROOKLYN DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
32 UNION SQ E, NEW YORK, NY 10003-3209
(212) 678-0252
Mailing address
216 E 89TH ST APT 4E, NEW YORK, NY 10128-4341
(609) 705-8822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009086-1
NY
Other
Enumeration date
09/06/2016
Last updated
05/17/2020
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