| NPI | 1750261947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: NY CRPA-P-9203) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY NYCPS-2977) |
| 251B00000X Case Management (Licence: NY CRPA-P-9203) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY CRPA-P-9203) | |
| 171M00000X Case Manager/Care Coordinator (Licence: NY CRPA-P-9203) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY CRPA-P-9203) | |
| 175T00000X Peer Specialist (Licence: NY CRPA-P-9203) | |
| Enumeration Date | 2025-09-06 |
| Last Update Date | 2025-10-27 |