| NPI | 1013240456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 081917) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2016-09-06 |