| NPI | 1942556659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 085286) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 21239) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 21239) | |
| 101YM0800X Counselor Mental Health (Licence: NY 085286) | |
| 101YP2500X Counselor Professional (Licence: NY 21239) | |
| 104100000X Social Worker (Licence: NY 085286) | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |