| NPI | 1518490440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 100044) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 100044) |
| 104100000X Social Worker (Licence: NY 100044) | |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2022-02-01 |