| NPI | 1811381148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 31738) |
| 104100000X Social Worker (Licence: NY 093311) | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2018-07-18 |