NPI | 1780808733 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 17119) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 073608) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2007-07-08 |