| NPI | 1750578795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 2112) |
| 104100000X Social Worker (Licence: NY 072485-1) | |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2024-02-15 |