NPI | 1831484468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 075442) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 075442) |
101YM0800X Counselor, Mental Health (Licence: NY 075442) | |
101YP2500X Counselor, Professional (Licence: NY 075442) | |
Enumeration Date | 2011-06-11 |
Last Update Date | 2017-10-16 |