| NPI | 1093290306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 048762) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 10816) |
| 1041C0700X Social Worker, Clinical (Licence: NY 094851) | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2023-03-09 |