| NPI | 1467772871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 072055-1) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 072055-1) |
| 106H00000X Marriage & Family Therapist (Licence: NY 072055-1) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |