| NPI | 1689744716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY R053885-1) |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: NY R053885-1) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-01-31 |