| NPI | 1285760355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R042805-1) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 8191) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2022-10-20 |