| NPI | 1851583850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 12488) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ 13047) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 7796) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 069203-1) | |
| 1041S0200X Social Worker, School (Licence: NY 2217623) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2022-05-28 |