| NPI | 1306959085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY CASAC 1719) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: 003449) |
| 1041C0700X Social Worker Clinical (Licence: NY LCSW R 028574) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |