NPI | 1023866233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 119334) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 119334) |
101YM0800X Counselor, Mental Health (Licence: NY 119334) | |
Enumeration Date | 2024-05-11 |
Last Update Date | 2024-05-11 |