| NPI | 1194243980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 100444) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 114329) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2025-10-24 |