| NPI | 1679655187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 17795) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 076986) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-10-17 |