| NPI | 1174785877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY TBA) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY TBA) |
| 171M00000X Case Manager/Care Coordinator (Licence: NY TBA) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |