| NPI | 1427368331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 004540) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 23848) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH14086) | |
| 104100000X Social Worker (Licence: NY 102752) | |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2019-02-22 |