| NPI | 1164843942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 36772) |
| Additional Taxonomies | 101Y00000X Counselor |
| 164W00000X Licensed Practical Nurse (Licence: NY 280612) | |
| 374U00000X Home Health Aide (Licence: NY 280612-1) | |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2024-03-14 |