| NPI | 1457441552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 541) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R035881) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2025-09-11 |