| NPI | 1366940769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 097428) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 097428) |
| 1041C0700X Social Worker, Clinical (Licence: NY 097428) | |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2021-12-30 |