NPI | 1154870103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093283) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 101ya0400x) |
Enumeration Date | 2016-09-30 |
Last Update Date | 2022-10-18 |