| NPI | 1073743126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker School (Licence: NY 25831) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 25831) |
| 101YM0800X Counselor Mental Health (Licence: NY 25831) | |
| 1041C0700X Social Worker Clinical (Licence: 25831) | |
| 106H00000X Marriage & Family Therapist (Licence: NY 25831) | |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |