| NPI | 1407055817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY P057154) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY P057154) |
| 106H00000X Marriage & Family Therapist (Licence: NY P057154) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2016-10-28 |