NPI | 1417595117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 109784) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06776400) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2019-12-13 |
Last Update Date | 2022-04-01 |