| NPI | 1326334251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16329) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 28843) |
| 1041C0700X Social Worker, Clinical (Licence: NY 0822531) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2022-08-24 |