| NPI | 1003668179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 38195) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 38195) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional (Licence: 38195) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-06-10 |