| NPI | 1700069903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 073707) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077769-1) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 077769-1) | |
| 101YM0800X Counselor, Mental Health (Licence: NY 077769-1) | |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2010-10-05 |