| NPI | 1194199141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097597) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 16817) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2026-05-14 |