| 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 |