| NPI | 1194209296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: HI 4826) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 104564) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 35052) | |
| 104100000X Social Worker (Licence: NY 104564) | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2023-09-22 |