| NPI | 1447599626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080296) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 080296) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 080296) | |
| 101YM0800X Counselor, Mental Health (Licence: NY 080296) | |
| 104100000X Social Worker (Licence: NY 080296) | |
| 171M00000X Case Manager/Care Coordinator (Licence: NY 080296) | |
| 101YP2500X Counselor, Professional (Licence: NY 080296) | |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2014-10-20 |