| NPI | 1033501259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 26594) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 096289) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2023-11-17 |