NPI | 1083075063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 096137) |
Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: NY 27977) |
Enumeration Date | 2016-03-17 |
Last Update Date | 2016-03-17 |