NPI | 1518105303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 070113-1) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 10085) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 108134) | |
Enumeration Date | 2009-02-02 |
Last Update Date | 2009-02-02 |