| NPI | 1518008051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 073934) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 073934) |
| 1041C0700X Social Worker Clinical (Licence: NY 073934) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |