| NPI | 1568277002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 125036) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 18833) |
| 101YP1600X Counselor, Pastoral (Licence: NY 16556) | |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |