| NPI | 1427522697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 105376-1) |
| 101YM0800X Counselor, Mental Health (Licence: NY 105376) | |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2023-08-03 |