| NPI | 1942616156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097429) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 27477) |
| 104100000X Social Worker (Licence: NY 111268-01) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2024-04-08 |