NPI | 1629174982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY LCSWR032652) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 1436) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2019-03-13 |