| NPI | 1386251304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 18227) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 092146-01) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |