| NPI | 1467866806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 090277-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 090277-1) |
| 104100000X Social Worker (Licence: NY 090277-1) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2014-06-13 |