| NPI | 1023890696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 37576) |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |