| NPI | 1831968254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 121701-01) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2024-05-24 |