| NPI | 1831143445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 13220) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 0003191) |
| 163W00000X Registered Nurse (Licence: NY 3569171) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |