| NPI | 1356680714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 071128-1) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 11869) |
| 1041C0700X Social Worker, Clinical (Licence: CT 005302) | |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-03-05 |