NPI | 1609752161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY CASAC-41144) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P134045) |
Enumeration Date | 2025-08-12 |
Last Update Date | 2025-08-26 |