NPI | 1619369717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 008638) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
104100000X Social Worker (Licence: NY P03416) | |
Enumeration Date | 2015-02-26 |
Last Update Date | 2019-07-19 |