| NPI | 1235676594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 13282) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 20825) |
| 101YP2500X Counselor, Professional (Licence: NY 508264) | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2023-10-05 |