| NPI | 1124367669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 72 084684) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY CASAC-18680) |
| 104100000X Social Worker (Licence: NY 72 084761) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 084684) | |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2023-03-01 |