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 |