| NPI | 1346983723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY P113452) |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2023-10-17 |