| NPI | 1528434941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 085926) |
| 101YP2500X Counselor, Professional (Licence: NY 085524-1) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2023-05-01 |