| NPI | 1437376928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 171W00000X Contractor (Licence: NY 342004610703E) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 342004610703E) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2014-09-17 |