| NPI | 1952746299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 72-087772) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY CASAC-28462 Trainee) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |