| NPI | 1801207550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083391) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 083391) |
| 104100000X Social Worker (Licence: NY 083391) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 083391) | |
| 106H00000X Marriage & Family Therapist (Licence: NY 083391) | |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2015-08-25 |