| NPI | 1396331229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904016773) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 35145) |
| 104100000X Social Worker (Licence: NY 107673) | |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2024-08-26 |