| NPI | 1659453124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: NY C-18090) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: NY C-18090) |
| 101Y00000X Counselor (Licence: NY C-18090) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY C-18090) | |
| 101YM0800X Counselor, Mental Health (Licence: NY C-18090) | |
| 171M00000X Case Manager/Care Coordinator (Licence: NY 00003636) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-05-14 |