| NPI | 1841667490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY P110049) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2021-11-23 |