| NPI | 1437335098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 23937) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004943) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2012-10-19 |