| NPI | 1457043283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 3844) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 32488) | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-06-07 |