| NPI | 1053631812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 7069) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 080087-1) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2014-02-11 |