| NPI | 1528338381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 081551) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 070331-1) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 13326) | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2020-12-01 |