| NPI | 1760747323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 081264-1) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 17084) |
| 104100000X Social Worker (Licence: NY 081355) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2015-11-30 |