| NPI | 1336803733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 39815-T) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2024-11-22 |