| NPI | 1306063896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007686) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 00919) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 16829) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 079608) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2015-10-14 |