| NPI | 1598016495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 070439) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 20593) |
| 1041C0700X Social Worker, Clinical (Licence: NY 082561) | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2023-01-04 |