| 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 |