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 |