| NPI | 1710530191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 31691) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2021-06-11 |