| NPI | 1891123907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085699) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 21232) |
| 104100000X Social Worker (Licence: NY 084080) | |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2018-03-17 |