| NPI | 1770908295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 72 090551) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 72 090551) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 72 090551) | |
| 101YM0800X Counselor Mental Health (Licence: NY 72 090551) | |
| 101YP2500X Counselor Professional (Licence: NY 72 090551) | |
| 103K00000X Behavior Analyst (Licence: NY 72 090551) | |
| 1041C0700X Social Worker Clinical (Licence: NY 72 090551) | |
| 171M00000X Case Manager/Care Coordinator (Licence: NY 72 090551) | |
| 174H00000X Health Educator (Licence: NY 72 090551) | |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |