| NPI | 1801581889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 117920-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 117920-01) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 117920-01) | |
| 101YM0800X Counselor, Mental Health (Licence: NY 117920-01) | |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-04-06 |