| NPI | 1427316108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY CASAC-5378) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY CPP-158) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2021-11-23 |