NPI | 1205511177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 084015) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NY 084015) |
101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 084015) | |
102L00000X Psychoanalyst (Licence: NY 084015) | |
Enumeration Date | 2023-06-19 |
Last Update Date | 2023-06-19 |