| NPI | 1336596790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 72093533) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 18852) |
| 1041C0700X Social Worker, Clinical (Licence: NY 091234) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2024-02-16 |