| NPI | 1699119305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084462) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 27774) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928956) | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2023-02-02 |