| NPI | 1134868961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: NY 107014) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 33727) |
| 104100000X Social Worker (Licence: NY 107014-01) | |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2025-02-26 |