| NPI | 1821168089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 3423) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 001128-1) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |