| NPI | 1891316964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090374) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 32856) |
| 104100000X Social Worker (Licence: NY 101607) | |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2023-03-05 |