| NPI | 1942596713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY p95410) |
| Additional Taxonomies | 104100000X Social Worker |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY p95410) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 096834-1) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2015-12-14 |