| NPI | 1114297637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 097690) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 29901) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2024-09-24 |