| NPI | 1861246423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 35397) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 118658) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |