| NPI | 1417008012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: NY 50098) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 002851) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 002851) | |
| 101YM0800X Counselor, Mental Health (Licence: NY 002851) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2018-08-29 |