| NPI | 1093408460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 39494-p) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: NY P122483) | |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2024-09-11 |