| NPI | 1689105835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007241) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 007241-1) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 30647) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2020-05-06 |