| NPI | 1730724774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 38010) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P133143) |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2025-09-02 |