NPI | 1184856049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079577-1) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 079577-1) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2009-08-11 |
Last Update Date | 2019-03-15 |